| NPI | 1215463310 |
|---|---|
| Former Name | COLLEEN MARIE DUGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NM MD2018-0792) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2018-09-14 |